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PUBLIC WORKS -, :.� -� <br />REVIEW WORKSHEET •� � � �'v�'� ���.'�' <br />(ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/14/2016 <br />Permit #: - <br />PROJECT ADDRESS: 1422 RUCKER AVE <br />DESCRIPTION OF WORK: NEW 556 SQ FT DETACHED GARAGE <br />CONTACT INFORMATION: <br />OWNER: APPLICANT: <br />NAME: HASKINS ROSEMARY & BRIAN NAME: <br />ADDRESS: 1422 RUCKER AVE ADDRESS: <br />EVERETT, WA, 98201-1616 <br />PHONE: <br />EMAIL: <br />CONTACT: ❑ Owner ❑ Applicant ❑Other. <br />NAME: (ContactName] <br />PHONE: [ContactPhone] <br />EMAIL: fContactEmaill <br />PHONE: <br />EMAIL: <br />�'� � �ti�-�.clti.�) <br />OLSON ED <br />COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT #: <br />PW Permit Required? �J YES ❑ NO W.O. #: <br />�wr��� .�� , dj s� -� `f�s . �i.)1�.� �'wp:�a.������ '� r,�- <br />Notes: '� `~�' � ` r � � Associated Bldg./PW Permit # � � %�� � <br />�• �,i..� ��.� 1._ `.+ g ,�`'� '....1 ���in!"i�i <br />FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br />❑ YES —Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br />L-I�NO <br />Explanation: <br />(Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br />WATER FEES? <br />DOMESTIC SERVICE: � FIRE SERVICE: <br />❑ YES — Amount $ ❑ YES — Amount $ <br />❑ Meter Only, ❑ Complete Service, Size ❑ 3�4 Detect Meter Only <br />CJ N O C'� N O <br />Explanation: Explanation: <br />❑ Fire Service Size <br />❑ Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br />Existing Utility Permit # (if applicable): <br />SEWER FEE? <br />❑ YES — Amount $ ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />f�, N O <br />Explanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENTFEE? <br />❑ YES — Amount $ ❑ See Attached Spreadsheet <br />�( NO — No Change of Use / Other <br />Explanation: <br />(Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) <br />TRAFFIC MITIGATION FEE? <br />❑ YES — Amount $ ❑ See Attached Spreadsheet <br />� NO <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />❑ YES — TYPE ❑ See Attached Letter <br />�NO <br />r <br />;G�.�`° ��j :l " ' � � - �- <br />Public Works Reviewer Signature <br />REVISED 2/24/2016 <br />, <br />t E, <br />��� �� .� � �i�,� <br />Date <br />